The New Structure of Core Oligosaccharide Presented by Proteus penneri 40A and 41 Lipopolysaccharides

The new type of core oligosaccharide in Proteus penneri 40A and 41 lipopolysaccharides has been investigated by 1H and 13C NMR spectroscopy, electrospray ionization mass spectrometry and chemical methods. Core oligosaccharides of both strains were chosen for structural analysis based on the reactivity of LPSs with serum against P. penneri 40A core oligosaccharide–diphtheria toxoid conjugate. Structural analyses revealed that P. penneri 40A and 41 LPSs possess an identical core oligosaccharide.


Introduction
P. penneri are human-opportunistic pathogens causing, in preferred conditions, several types of infections among which urinary tract and wound infections are predominant. These Gram-negative bacteria produce many virulence factors including LPS (endotoxin), which seems to be the most dangerous due to its contribution to septic shock [1]. LPS of smooth bacterial strains consists of three regions: lipid A, a core oligosaccharide (OS) and an O-polysaccharide (O-PS, O-antigen). Only the last two have been described for the P. penneri species [2][3][4]. Although the P. penneri core oligosaccharide is characterized by lower structural diversity than the O-PS part (over 26 chemotypes), it is still structurally heterogeneous (12 different structures of the outer core region and a few variants of its inner part) [2][3][4][5][6]. The LPS core region may be masked by an O-polysaccharide, but its exposition on bacterial cells is still accessible for specific immunoglobulins. This fact was confirmed by the detection, in polyclonal rabbit antisera against Proteus strains, of anti-core-specific antibodies recognizing low-molecular-mass LPS species not only of homologous but also heterologous antigens [7][8][9]. This observation encouraged the examination of different P. penneri LPSs, in search of antigen groups with identical or similar serological activities of their core oligosaccharides, which would complete the Proteus classification scheme with the data on the core region serotypes. To date, 11 groups of LPS presenting one core serotype have been classified [10]. In this paper, the results of serological studies and structural analysis are presented to show another type among P. penneri LPSs with a common sero-and chemotype of their core oligosaccharides.

Serological Studies
The rabbit polyclonal serum against the P. penneri 40A core oligosaccharide-diphtheria toxoid conjugate (anti-conjugate serum) was obtained and tested by ELISA assay and immunoblotting (Western blot) with the homologous and 40 other Proteus spp. LPSs. The heterologous LPSs (rough P. penneri strains: (serotypes 4, 5, 11), R mutant of P. mirabilis (serotype 6) and smooth P. penneri strains (O8, O17, O19a,b, O31a, O31a,b, O52, O58, O59, O61, O62, O63, O64a,b,c, O64a,c,e, O65, O67-O71, O72a, O73a,b, O73a,c) representing different O serogroups and subgroups of the genus were selected as described previously [7]. In ELISA, two LPSs, P. penneri 40A and 41, reacted to the titer the most strongly with the tested serum (1:16,000); two LSPs, P. penneri 1 and 4, cross-reacted to the titer (1:8000); two other LPSs, P. penneri 27 and 71 showed the lowest serum reactivity titers (1:2000). Residual Proteus spp. LPSs were not cross-reacted with the tested serum. The cross-reactivity of the tested antiserum with P. penneri 1, 4, 27, 71 LPSs indicates the presence in their core oligosaccharides of similar epitope(s) common with core oligosaccharide of the homologous LPS. The strongly reacting LPSs, P. penneri 40A and 41, were chosen for further study. In the Western blot technique, all reactions concerned the low-molecular-mass LPS fragments consisting of the core-lipid A moieties of tested antigens ( Figure 1). The tested antiserum was adsorbed a few times with an alkali-treated cross-reacting or homologous antigen and checked once more in ELISA with the same LPS preparations. The adsorption of P. penneri 40A anti-conjugate serum with each of the reacting LPSs completely abolished the reactions with tested LPSs. P. penneri 40A and 41 LPSs, which reacted strongly and similarly in all assays, have been selected for structural studies by ESI mass spectrometry and NMR spectroscopy to check the similarity of these core oligosaccharides.

Structural Studies
The mass spectra obtained for the P. penneri 40A and 41 core oligosaccharides showed a high degree of similarity (Figure 2A,B). To avoid unnecessary duplication, only data concerning the P. penneri 40A core oligosaccharide have been presented in the text. Table 1 2+ corresponded to the core oligosaccharide containing two hexoses (Glc and Gal); five heptoses (Hep); hexuronic acid (GalA); hexosamine (GalN); N-acetylated hexosamine (GlcNAc); 4-amino-4-deoxyarabinose (Ara4N); 3-deoxy-D-manno-oct-2-ulosonic acid (Kdo); phosphoethanolamine (PEtn) and a one O-acetyl group (OAc). Additionally, both core oligosaccharides were de-O-acetylated and checked by ESI MS. The differences between core oligosaccharides and their de-O-acetylated fractions were related to the removal of the O-acetyl group from the structure. The major fraction represented by the ion at m/z

Structural Studies
The mass spectra obtained for the P. penneri 40A and 41 core oligosaccharides showed a high degree of similarity (Figure 2A,B). To avoid unnecessary duplication, only data concerning the P. penneri 40A core oligosaccharide have been presented in the text. Table 1
Residue D at δ H /δ C 4.58/103.3 ppm, 1 J C-1,H-1~1 62 Hz, was assigned as the terminal β-D-Glcp based on the large vicinal couplings between all protons in the sugar ring.

Discussion
This work provides the serological and chemical characterization of a new type of the core region presented by P. penneri 40A and 41 LPSs. In ELISA, anti-conjugate serum P. penneri 40A reacted differently with three groups: (I) P. penneri 40A and 41-showing the strongest serological activity; (II) P. penneri 4 and 1-weaker reactions; and (III) P. penneri 27 and 71-the weakest serological activity. The weakest activity of the last two LPSs was also confirmed by the results of the Western blot technique (Figure 1). The LPS whose binding-pattern of low-molecular-mass LPS species distinguished itself from the patterns of the tested residual LPSs was P. penneri 1. The LPS, P. penneri 4, reacted in Western blotting similarly to P. penneri 40A and 41 but its reactivity titer in ELISA was twice as low as the titers of P. penneri 40A and 41 LPSs. These differences in serological activity of P. penneri 1, 4, 27 and 71 LPS core oligosaccharides compared to that observed for P. penneri 40A and 41 LPSs suggest that these two groups of LPSs share common epitopes but do not necessarily present the same sero-and chemotype of the core region. In many cases, LPSs, presenting one chemotype of the core region, showed similar binding-patterns of low-molecular-mass LPS species in the Western blot technique and reacted in ELISA up to the same value of the antiserum reactivity titers [7,8]. Due to the fact that P. penneri 40A and 41 LPSs reacted similarly in all serological assays, they were chosen for the structural analyses.
The results of mass spectra analyses of the core oligosaccharides from P. penneri 40A and P. penneri 41 LPS were able to reveal the structure, which had not been previously identified for Proteus LPS core regions. The new type of structure is typical for P. penneri core regions in its inner part containing five Hepp residues, Glcp, GalpA, Kdo and Ara4N residues and presenting III glycoform [2,4]. Only in six P. penneri LPSs 12,13,14,37,42 and 44, can structural variations of the inner core region be observed [2,4]. The uniqueness of P. penneri 40A and 41 core regions is found in its outer part defined in the literature as R substituent [4]. To date, 20 different structures of R substituent have been determined for Proteus spp. strains, among which 12 are presented by P. penneri strains [4,13]. These structures contain from one (e.g., P. penneri 12, 13) to four sugar residues or their N-acetylated forms (e.g., P. penneri 7, 14, 15). One structure of R substituent can be represented by one or a few P. penneri strains [4]. The R substituent of P. penneri 40A (O64a,b,d) and the 41 (O62) LPS core region is built of three residues (β-D-Galp-(1→4)-α-D-GlcpNAc-(1→4)-α-D-GalpN6OAc) and it is similar to the outer core region of only one strain, P. penneri 103 (O73a,b) (β-D-Glcp-(1→4)-α-D-GlcpNAc-(1→4)-α-D-GalpN6OAc) [4]. These two fragments differ from each other in the terminal residue. The importance of the terminal residue in the serospecificity of the outer core oligosaccharide region can be confirmed by the fact that P. penneri 40A anti-conjugate serum did not react with P. penneri 103 LPS. P. penneri 103 was classified into serotype group no. 10 together with P. penneri 75 LPS, recognized by anti-core-specific antibodies present in P. penneri 103 antiserum [10]. A similar situation also occurs in the case of two core oligosaccharide serotypes: R1

Discussion
This work provides the serological and chemical characterization of a new type of the core region presented by P. penneri 40A and 41 LPSs. In ELISA, anti-conjugate serum P. penneri 40A reacted differently with three groups: (I) P. penneri 40A and 41-showing the strongest serological activity; (II) P. penneri 4 and 1-weaker reactions; and (III) P. penneri 27 and 71-the weakest serological activity. The weakest activity of the last two LPSs was also confirmed by the results of the Western blot technique (Figure 1). The LPS whose binding-pattern of low-molecular-mass LPS species distinguished itself from the patterns of the tested residual LPSs was P. penneri 1. The LPS, P. penneri 4, reacted in Western blotting similarly to P. penneri 40A and 41 but its reactivity titer in ELISA was twice as low as the titers of P. penneri 40A and 41 LPSs. These differences in serological activity of P. penneri 1, 4, 27 and 71 LPS core oligosaccharides compared to that observed for P. penneri 40A and 41 LPSs suggest that these two groups of LPSs share common epitopes but do not necessarily present the same sero-and chemotype of the core region. In many cases, LPSs, presenting one chemotype of the core region, showed similar binding-patterns of low-molecular-mass LPS species in the Western blot technique and reacted in ELISA up to the same value of the antiserum reactivity titers [7,8]. Due to the fact that P. penneri 40A and 41 LPSs reacted similarly in all serological assays, they were chosen for the structural analyses.
The results of mass spectra analyses of the core oligosaccharides from P. penneri 40A and P. penneri 41 LPS were able to reveal the structure, which had not been previously identified for Proteus LPS core regions. The new type of structure is typical for P. penneri core regions in its inner part containing five Hepp residues, Glcp, GalpA, Kdo and Ara4N residues and presenting III glycoform [2,4]. Only in six P. penneri LPSs 12, 13, 14, 37, 42 and 44, can structural variations of the inner core region be observed [2,4]. The uniqueness of P. penneri 40A and 41 core regions is found in its outer part defined in the literature as R substituent [4]. To date, 20 different structures of R substituent have been determined for Proteus spp. strains, among which 12 are presented by P. penneri strains [4,13]. These structures contain from one (e.g., P. penneri 12, 13) to four sugar residues or their N-acetylated forms (e.g., P. penneri 7, 14, 15). One structure of R substituent can be represented by one or a few P. penneri strains [4]. The R substituent of P. penneri 40A (O64a,b,d) and the 41 (O62) LPS core region is built of three residues (β-D-Galp-(1→4)-α-D-GlcpNAc-(1→4)-α-D-GalpN6OAc) and it is similar to the outer core region of only one strain, P. penneri 103 (O73a,b) (β-D-Glcp-(1→4)-α-D-GlcpNAc-(1→4)-α-D-GalpN6OAc) [4]. These two fragments differ from each other in the terminal residue. The importance of the terminal residue in the serospecificity of the outer core oligosaccharide region can be confirmed by the fact that P. penneri 40A anti-conjugate serum did not react with P. penneri 103 LPS. P. penneri 103 was classified into serotype group no.
The results presented in this work will allow P. penneri 40A and 41 LPSs to be classified into a new core oligosaccharide serotype group extending the core oligosaccharide serotypes scheme [10]. It is another example of two P. penneri LPSs of one core serotype but presenting two O serotypes: P. penneri 40A (O64a,b,d) and P. penneri 41 (O62)-the first representative of this O serogroup in the core types classification scheme.
Finding a new structure and serotype of the P. penneri LPS core region confirmed the huge structural heterogeneity of P. penneri LPSs, a unique phenomenon among other Enterobacteriaceae. Extension of the core serotype scheme with other representatives may be helpful in the identification of the most common R and O serotypes needed for the selection of vaccine antigens to obtain cross-reactive and cross-protective antibodies [10].

Bacterial Strains
P. penneri 40A (O64a,b,d) and 41 (O62) are clinical isolates from patients in Toronto (Canada) but their isolation sources remain unknown. The other strains, whose LPSs were checked with the tested serum, have been presented in another article [7]. All tested strains belong to the collection of the Laboratory of General Microbiology, University of Lodz (Poland), where they are stored in a glycerol mixture at −80 • C.

Lipopolysaccharide
The LPSs were extracted from dried bacterial cells, as previously described [7], by the phenol-water procedure according to the method of Westphal [15] and purified with aqueous 50% trichloroacetic acid. Alkali-treated LPSs used for the sera adsorption were prepared as described in detail elsewhere [16].
The LPSs of P. penneri 40A and 41 were degraded by treating with 1.5% acetic acid at 100 • C for 1 h and the carbohydrate portions were fractionated and monitored as described previously [7]. The fractions (O-PS, OS, and the mixture of low molecular mass) were eluted, freeze-dried and checked by ESI mass spectrometry and NMR spectroscopy.

De-O-Acetylation of the Core Oligosaccharide
The P. penneri 40A, 41 core oligosaccharides (5 mg) were treated with aqueous 12.5% NH 3 (1 mL) at 23 • C for 16 h and then the solution was freeze-dried. The products were analyzed by ESI mass spectrometry and NMR spectroscopy.

P. penneri 40A Core Oligosaccharide Conjugate
Conjugation of the P. penneri 40A core oligosaccharide with diphtheria toxoid was performed by the method of H. J. Jennings and C. Lugowski based on the reaction of reductive amination, which was described in detail elsewhere [17]. The P. penneri 40A anti-conjugate serum was obtained by the immunization of New Zealand white rabbits as described previously [7].

Serological Assays
Purified LPS samples were tested with rabbit antisera in an enzyme-linked immunosorbent assay (ELISA), and Western blot procedure after sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) with non-adsorbed antisera and/or antisera adsorbed with selected alkali-treated LPSs. All assays were performed as previously described [16] with some modifications [7].

Chemical Method
Methylation analysis was performed according to the method of Ciucanu and Kerek [18]. Partially methylated alditol acetates were analyzed by gas chromatography-mass spectrometry using a Thermo Scientific ITQ system using a Zebron™ ZB-5HT (Thermo Fisher Scientific, Waltham, USA), GC Capillary Column (30 m × 0.25 mm × 0.25 µm) and with temperature rising from 150 to 270 • C at 8 • C/min.

Instrumental Methods
ESI MS analyses were performed using a Bruker microTOF-QII mass spectrometer (Bruker Brema, Germany) in a positive ion mode. The samples were dissolved in an acetonitrile-water-formic acid solution (50:50:0.1, v/v/v). The spectra were scanned in the m/z 200-2200 range. The mass isolation window for the precursor ion selection was set to 4 Da in the MS 2 analyses.
All NMR spectra were recorded using a Bruker Avance III 600 Hz spectrometer equipped with a 2.5 mm microprobe, incorporating gradients along the z-axis. The measurements were performed at 298 K. The signals were assigned by one-and two-dimensional experiments: 1 H-1 H COSY, TOCSY (with mixing time: 30, 60, 100 ms), NOESY and 1 H-13 C HSQC-DEPT, HSQC-TOCSY, and HMBC. The data were acquired and processed using standard Bruker software. The processed spectra were assigned with the help of the SPARKY program [19].